Jonathan Tyler Davis
Registered Nurse in Tyler, TX. Individual provider (NPI-1).
NPI number1801554381
StatusActive
Last updated in NPPESDec 2, 2021
Details
- NPI
- 1801554381
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Tyler Davis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2021
- Certification date
- Dec 2, 2021
- Last updated
- Dec 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 1052608 | TX | Yes |
Practice location
9846 Hwy 31 ETyler, TX 75705-2329
Phone 903-592-8001
Mailing address
9846 Hwy 31 ETyler, TX 75705-2329
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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